Journal article
Comparison of patient self-reports and urinalysis results obtained under naturalistic methadone treatment conditions
Drug and alcohol dependence, Vol.59(1), pp.43-49
2000
Handle:
https://hdl.handle.net/2376/110390
PMID: 10706974
Abstract
This study examined under naturalistic assessment conditions the validity of self-reported opiate and cocaine use among 175 veterans enrolled in methadone treatment, and factors related to self-report validity, such as stage in treatment and drug of abuse. Veterans were interviewed by clinical staff about past 30-day drug use with the addiction severity index (ASI), and urinalysis results were obtained for the same 30-day interval assessed with the ASI. Analysis revealed that urinalysis generally produced higher rates of substance use than patient self-report, and with the exception of reported opiate use among new patients presenting for treatment, validity of patient self-reported drug use generally was poor with patients under-reporting both opiate and cocaine use. The findings are in marked contrast to those obtained in other studies in which participants are ensured confidentiality regarding their self-reports. Further, the results raise questions about the utility of self-report measures of substance use to assess patient progress or methadone program performance.
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Details
- Title
- Comparison of patient self-reports and urinalysis results obtained under naturalistic methadone treatment conditions
- Creators
- Stephen T Chermack - John D. Dingell VA Medical Center, Department of Psychiatry (116A), 4646 John R. Street, Detroit, MI 48201-1932, USAJohn Roll - Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, USAMark Reilly - Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, USALeonard Davis - John D. Dingell VA Medical Center, Department of Psychiatry (116A), 4646 John R. Street, Detroit, MI 48201-1932, USAUsha Kilaru - John D. Dingell VA Medical Center, Department of Psychiatry (116A), 4646 John R. Street, Detroit, MI 48201-1932, USAJohn Grabowski - John D. Dingell VA Medical Center, Department of Psychiatry (116A), 4646 John R. Street, Detroit, MI 48201-1932, USA
- Publication Details
- Drug and alcohol dependence, Vol.59(1), pp.43-49
- Academic Unit
- Elson S. Floyd College of Medicine
- Publisher
- Elsevier Ireland Ltd
- Identifiers
- 99900547035301842
- Language
- English
- Resource Type
- Journal article